
<div>
    <table width="224" border="0" align="center" cellpadding="4" cellspacing="0" style="background-image:url(images/index_21.gif);">
        <tr>
            <td>
                <div style="padding:15px;"><img src="images/index_24.gif" width="176" height="22" alt="" /></div>
                <div style="padding-bottom:8px;">
                    <form id="form1" name="form1" method="post" action="" style="margin:auto;">
                        <table width="215" border="0" align="center" cellpadding="3" cellspacing="0">
                            <tr>
                                <td width="59" class="field">User Name:</td>
                                <td width="140"><label><input type="text" name="textfield" style="width:90%;" /></label></td>
                            </tr>
                            <tr>
                                <td class="field">Password:</td>
                                <td><label><input type="password" name="textfield2" style="width:90%;" /></label></td>
                            </tr>
                            <tr>
                                <td colspan="2" align="right" class="field" style="padding-right:12px;">forgot Password? 
                                    <label>
                                        <input type="image" name="imageField" src="images/index_33.gif" />
                                    </label></td>
                            </tr>
                          </table>
                     </form>
                </div>
            </td>
         </tr>
    </table>
</div>